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DIABETES MELLITUS AND CORONARY HEART DISEASE
DIABETES MELLITUS AND CORONARY HEART DISEASE

... One hundred and forty patients with clinical signs of CHD, hospitalized at the Department of Endovascular Surgery, Institute of Cardiology, for diagnostic and reconstructive interventions during the 1997 - 2000 period were included in the study. Control group consisted of subjects in whom coronarogr ...
Finding the Optimum in the Use of Elective Percutaneous Coronary
Finding the Optimum in the Use of Elective Percutaneous Coronary

... facilities across the country, the authors found that PCIs performed in the acute setting (STEMI, NSTEMI, and high-risk unstable angina) were almost uniformly classified as appropriate. However, for nonacute (elective) PCI, application of the AUC resulted in the classification of 50% as appropriate, ...
comparison of prognosis between patients with acute coronary
comparison of prognosis between patients with acute coronary

... Despite improvements in diagnosis and therapy over the last years, mortality among patients with acute coronary syndrome is still high. Cardiovascular diseases are the main global cause of death. An estimated 17.5 million people died from cardiovascular disease in 2012, representing 31% of all globa ...
Case Report - Departamentos e GEs
Case Report - Departamentos e GEs

... echocardiography to reduce the use of contrast. Although a pulmonary antegrade flow was noticed immediately after the pulmonary valve dilation, few minutes later it disappeared due to severe infundibular spasm. For this reason, a 4.5 x 12 mm stent (“Springer”) was chosen to be placed in the RVOT acr ...
Dual-source cardiac computed tomography
Dual-source cardiac computed tomography

... Coronary artery visualization by 64-slice CT A number of studies were able to demonstrate relatively high accuracy for the detection of hemodynamically relevant coronary artery stenoses by 64-slice CT. Obviously, the accuracy for stenosis detection will depend on the operators’ expertise, on the sca ...
Acute Coronary Syndromes Clinical Care Standard
Acute Coronary Syndromes Clinical Care Standard

... current National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the Management of Acute Coronary Syndromes.1 In general, primary PCI is recommended if the time from first medical contact to balloon inflation is anticipated to be less than 90 minutes, othe ...
TRANSFER-AMI - Clinical Trial Results
TRANSFER-AMI - Clinical Trial Results

... associated with a 6% absolute (46% relative) reduction in the composite of death, reinfarction, recurrent ischemia, heart failure and shock ...
A Review of Causes and Systemic Approach to Cardiac Troponin
A Review of Causes and Systemic Approach to Cardiac Troponin

... The discomfort is not positional and not affected by movement. These symptoms are not specific to MI and also can be caused by gastrointestinal, neurological, pulmonary, or musculoskeletal disorders; thus, additional evaluation is needed to supplement the clinical history. In the recent past, clinic ...
Controversies in renal arterial interventions.
Controversies in renal arterial interventions.

... the decrease in diastolic blood pressure was smaller in the revascularization group than in the medical-therapy group. The two study groups had similar rates of renal events (hazard ratio in the revascularization group, 0.97; 95% CI, 0.67 to 1.40; P=0.88), major cardiovascular events (hazard ratio, ...
Preoperative cardiac management of the patient evidence-based approach
Preoperative cardiac management of the patient evidence-based approach

... Summary. Preoperative cardiovascular management is an essential component of overall perioperative cardiovascular care. It involves preoperative detection and management of cardiovascular disease and prediction of both short- and long-term cardiovascular risk. It thereby not only affects anaesthetic ...
Copyright Information of the Article Published Online TITLE
Copyright Information of the Article Published Online TITLE

... We enrolled 70 patients (84.3% men, mean age 60.2 ± 9.8 years) with (1) exercise- and/or stress-related angina (2) evidence of reversible ischemia during stress echocardiography or thallium scintigraphy (3) stenosis of ≥ 50% in the left main coronary artery and or ≥ 70% in one or several of the majo ...
Non-ST Segment Elevation Myocardial Infarction Associated with IV
Non-ST Segment Elevation Myocardial Infarction Associated with IV

... Reductions in IVIG doses and administration at lower infusion rates may be advisable for patients with underlying cardiovascular disease or those who experience anginal symptoms during or after IVIG infusion. Manufacturer guidelines strongly recommend that when there is a potential risk of a thrombo ...
Radiation-Associated Valvular Disease
Radiation-Associated Valvular Disease

... of RAVD, with only one successful case of valve replacement that was ...
Anger, ventricular arrhythmias and sudden death
Anger, ventricular arrhythmias and sudden death

... important factor in the development of malignant ventricular arrhythmias and sudden death (1013). Sympathetic arousal can trigger arrhythmic events (10). Ventricular tachycardia, like sudden death, occurs more frequently in the morning, at the time of peak of catecholamine level and lowest vagal ton ...
Preoperative Cardiac Evaluation for Noncardiac
Preoperative Cardiac Evaluation for Noncardiac

... ited by significant between-study heterogeneity. The major­ ity of the studies involved vascular surgery patients. Second, in pooled analyses comparing different diagnostic modalities [23], all of the tests demonstrated very high nega­ tive predictive values (at least 95%). However, the positive pre ...
Cardioprotection before revascularization in ischemic myocardial
Cardioprotection before revascularization in ischemic myocardial

... speed with which acutely occluded coronary arteries can be revascularized,1- 6 many patients do not experience prodromal symptoms, or they ignore or are unsure of the meaning of their symptoms and delay going to the hospital. Sheifer et al found that almost 30% of 102 339 patients older than 65 year ...
A low molecular weight, selective thrombin inhibitor, inogatran, vs
A low molecular weight, selective thrombin inhibitor, inogatran, vs

... Patients were randomized to receive one of four treatment regimens, i.e. low-dose inogatran (Astra-Hassle AB, Molndal, Sweden) (n = 302), medium-dose inogatran (n = 303), high-dose inogatran (n=299), or heparin (n = 305). Low, medium and high dose patients received boluses of 1-10, 2-75 or 5-50 mg i ...
link
link

... infarction. The major determinants of myocardial oxygen demand (MVO2) are heart rate, myocardial contractility, and myocardial wall tension (stress). An adequate supply of oxygen to the myocardium requires a satisfactory level of oxygen-carrying capacity of the blood (determined by the inspired leve ...
Thallium-201 myocardial SPECT in a patient with mirror
Thallium-201 myocardial SPECT in a patient with mirror

... abnormal perfusion with reversible ischemia in the anteroseptal, septal and infero-septal walls (Fig. 2). Coronary angiography performed at another center 1 month after SPECT based on these results was normal. DISCUSSION In complete situs inversus the organs present a complete mirror image. Mirror-i ...
Cardio-oesophageal reflex in humans as a mechanism for `linked
Cardio-oesophageal reflex in humans as a mechanism for `linked

... the circumflex coronary artery in the dog decreased by a quarter when a balloon was inflated in the gastrooesophageal area'181. This effect could be abolished by atropine or vagotomy. A similar reflex coronary vasoconstriction initiated in the lung1'91 and in the heart itself1201 has also been demon ...
Meta-Analysis of Cardiovascular Outcomes Trials Comparing
Meta-Analysis of Cardiovascular Outcomes Trials Comparing

... patients with chronic or acute coronary artery disease, such as those entered into these trials, treated for 5 years, intensive rather than standard statin dosing would prevent more than 35,000 cardiovascular events (including more than 14,000 coronary deaths or MIs). On the basis of our analysis, t ...
Acute Coronary Syndrome - UC Irvine`s Department of Medicine
Acute Coronary Syndrome - UC Irvine`s Department of Medicine

...  ACS management medications include: Aspirin, Beta Blocker, Nitrates, Heparin, Ace-I, Statin, an anti-platelet agent  Door to balloon time for STEMI should be less than 90 minutes ...
Impact of metabolic syndrome on the outcome of patients with stable
Impact of metabolic syndrome on the outcome of patients with stable

... also conferred higher risk for mortality in non-DM population. This should be explained because DM is in itself a well-recognized and strong risk factor for mortality. MetS did not impose an additional risk on diabetic patients in this study. This fact highlighted the importance of the MetS and dysg ...
Angina Symptoms: Treat Chest Pain, Fatigue and Shortness of
Angina Symptoms: Treat Chest Pain, Fatigue and Shortness of

... chest pain is angina. She says with rest, you may have that musculoskeletal aches or stable angina. Unstable gastrointestinal complications angina, on the other can cause pain and discomhand, refers to chest fort in the chest, and these pain that also occurs may be mistaken for heart A D when you’re ...
Hyperglycemia Increases New-Onset Atrial Fibrillation in Patients
Hyperglycemia Increases New-Onset Atrial Fibrillation in Patients

... A variant incidence of AF after an AMI has been reported in previous studies. Goldberg et al. reported that the incidence of new-onset AF after AMI increased from 11.3% to 14.4% during the period 1999 to 2005.2 The development of new-onset AF after AMI was associated with an increase in the mortalit ...
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Drug-eluting stent



A drug-eluting stent (DES) is a peripheral or coronary stent (a scaffold) placed into narrowed, diseased peripheral or coronary arteries that slowly releases a drug to block cell proliferation. This prevents fibrosis that, together with clots (thrombi), could otherwise block the stented artery, a process called restenosis. The stent is usually placed within the peripheral or coronary artery by an interventional cardiologist or interventional radiologist during an angioplasty procedure.Drug-eluting stents in current clinical use were approved by the FDA after clinical trials showed they were statistically superior to bare-metal stents for the treatment of native coronary artery narrowings, having lower rates of major adverse cardiac events (usually defined as a composite clinical endpoint of death + myocardial infarction + repeat intervention because of restenosis). The first drug-eluting stents to be approved in Europe and the U.S. were coated with paclitaxel or an mTOR inhibitor, such as sirolimus.
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